Journal of the American Psychiatric Nurses Association最新文献

{"title":"Individual Resilience: Self-Care Is Not Selfish.","authors":"Allyson Matney Neal","doi":"10.1177/10783903251401866","DOIUrl":"10.1177/10783903251401866","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"79-81"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How the Hero Narrative Harms Nurses: Mental Health, Resilience, and Retention in the Nursing Workforce.","authors":"Michelle DeCoux Hampton","doi":"10.1177/10783903251401864","DOIUrl":"10.1177/10783903251401864","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"5-6"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145775007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perinatal Depression and Anxiety Among Adolescents: A Comprehensive Review of Knowledge Gaps, Perinatal Mental Health Needs, Care Preferences, Access, and Pathways to Care [Formula: see text].","authors":"Olajumoke A Ojeleye, Ronee Wilson, Ukamaka M Oruche","doi":"10.1177/10783903251398526","DOIUrl":"10.1177/10783903251398526","url":null,"abstract":"<p><strong>Background: </strong>Trends in perinatal anxiety (PNA) and perinatal depression (PND) have been increasing among pregnant and parenting adolescents (PPAs). We examined the state of research on perinatal mental health focused on PPAs experiencing PND or PNA, including knowledge and perceptions of PNA and PND, mental health needs, care preferences, and access to perinatal mental health care among PPAs.</p><p><strong>Aims: </strong>Our goal was to improve our understanding of PND and PNA among PPAs to enable the development of culturally relevant perinatal mental health interventions, reduce maternal morbidity and mortality, and enhance health outcomes for mothers and infants.</p><p><strong>Methods: </strong>We used the Whittemore and Knafl (2005) five-stage methodology to search five electronic databases and the Mixed Methods Appraisal Tool to rate the methodological quality of the selected articles.</p><p><strong>Results: </strong>Our search yielded 26 studies with various designs that assessed PNA and PND. Although we found limited research on PNA, quantitative studies reported PND rates ranging from 16% to 40% among PPAs. PPAs and their families often struggle to differentiate between PND and PNA. Research on PPA's preventive practices for PND and PNA is limited, though coping strategies for PND have been identified. PPAs expressed diverse perspectives on their mental health needs, expecting services to address a broad range of psychosocial issues. Factors influencing PPA's access and engagement with perinatal mental health services should be considered in future interventions to improve adherence and uptake. Tailored web-based interventions, combining professional support with online flexibility, are needed to enhance engagement among PPAs.</p><p><strong>Conclusion: </strong>Perinatal mental health research for PPAs is evolving. The findings emphasize the need for increased support and adaptive care for PND and PNA in this vulnerable group, particularly in resource-limited settings requiring self-management.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"7-29"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145843944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Systematic Review of the Rate and Associated Factors of Depression Among Filipino Nurses.","authors":"Rowalt Alibudbud","doi":"10.1177/10783903251357257","DOIUrl":"10.1177/10783903251357257","url":null,"abstract":"<p><p>BackgroundThe Philippines is a significant supplier of nurses worldwide despite facing a considerable nursing shortage of about 127,000 in its healthcare system. Given the challenging socioeconomic conditions that can heighten their risk for various mental health issues in the country, it is crucial to explore the rate and factors of depression among Filipino nurses to support them in their roles better.AimsThis systematic review explores the rate and associated factors of depression among Filipino nurses.MethodsAfter screening and assessing 56 studies from three databases, data from three studies were extracted, described, compared, and synthesized.ResultsThe proportion of nurses who self-reported experiencing depressive symptoms among the eligible studies ranged from 19.5% to 45%, with 11.2% to 19.9% of participants indicating mild symptoms, 5.8% to 18.2% reporting moderate symptoms, and 2.5% to 6.8% reporting severe to extremely severe depressive symptoms. Depression rates were higher among nurses intending to migrate (31%) than those not intending to migrate (23%). Depression was positively associated with disengagement, exhaustion, and overall occupational burnout, while it was negatively associated with personal faith, spiritual contentment, and religious practice.ConclusionThese findings highlight the need for community-based and hospital-based mental wellness programs for nurses that enhance their motivation, engagement, self-efficacy, and spirituality. Future research should explore longitudinal studies and broader sampling methods to enhance generalizability. Research can also focus on interventions, such as the different religious and spiritual practices, as well as policies addressing depression and its implications.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"30-35"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Role of Psychiatric Mental Health Nurse Practitioners in First-Episode Psychosis Coordinated Specialty Care Programs Across the United States.","authors":"LaRiena Ralph Dobkin, Christian G Kohler","doi":"10.1177/10783903251354945","DOIUrl":"10.1177/10783903251354945","url":null,"abstract":"<p><p>ObjectivesThis paper describes the different modalities of Coordinated Specialty Care (CSC) in first-episode psychosis and illustrates how psychiatric nurse practitioners can fulfill important roles in the team-based effort of individualized treatment and therefore increase access to specialized care for those suffering from early serious mental illness.MethodsReview of published literature and other online resources on first-episode psychosis (FEP) and CSC, shortage of psychiatric providers, and the role of the Psychiatric Mental Health Nurse Practitioner.ResultsResults are extracted from published literature on young persons experiencing FEP within current CSC models, as well as other online resources evaluating the increasing psychiatrist shortage throughout the United States.ConclusionThis article explores the potential roles and benefits of integrating psychiatric nurse practitioners into first-episode care and advocates that their involvement improves access to timely and effective interventions for young persons experiencing new-onset psychosis.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"69-78"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Between Adverse Childhood Experiences, Depressive Symptoms, and Nicotine Dependence Among Tobacco Users With Mental Illnesses.","authors":"Bassema Abufarsakh, Chizimuzo T C Okoli, Lovoria B Williams, Audrey K Darville, Antonio R Garcia, Catherine Martin","doi":"10.1177/10783903251356617","DOIUrl":"10.1177/10783903251356617","url":null,"abstract":"<p><p>BackgroundAdverse childhood experiences (ACEs) are associated with both increased depressive symptomatology and nicotine dependence (ND) in the general population. However, the relationship between ACEs, depressive symptoms, and ND among people with mental illness (MI) remains unexplored.AimsIn this study, we examined (a) depressive symptoms mediating the relationship between ACEs and ND and (b) ND severity mediating the relationship between ACEs and depressive symptoms.MethodA cross-sectional design was used to recruit participants online and from community mental health settings. Data analysis was conducted using IBM SPSS version 29.ResultsResponses from 194 individuals were included in the analysis. ND intensity mediated the relationship between ACEs and depressive symptom severity. The indirect variance of the effects of this mediation was 10.9%, 6.9%, and 10.6% among the total sample, females, and males, respectively. In addition, depressive symptoms mediated the relationship between ACEs and ND intensity, and the indirect variance of the effect of this mediation was 7.9%, 3.6%, and 8.8% in the total sample, females, and males, respectively.ConclusionsAmong people living with MI, ND mediates the impact of ACEs on depression, with varying degrees of influence between genders. In addition, depressive symptoms mediate the effect of ACEs on ND intensity. Further research is needed to investigate effective depressive treatment modalities to be integrated into tobacco treatment plans among people living with MI. In addition, nurse clinicians should assess for childhood adversity and depressive symptoms among tobacco users while treating ND.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"47-56"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"APNA Position: Adoption of Screening, Brief Intervention, & Referral to Treatment.","authors":"","doi":"10.1177/10783903251401867","DOIUrl":"10.1177/10783903251401867","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"82-83"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145819863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Substance Use and Suicidality Among Women Veterans, 2015 to 2019: A Secondary Analysis of the National Survey on Drug Use and Health.","authors":"Brayden Kameg","doi":"10.1177/10783903251398530","DOIUrl":"https://doi.org/10.1177/10783903251398530","url":null,"abstract":"<p><strong>Background: </strong>Women Veterans are at increased risk for both substance use and suicidality, both of which can contribute to early morbidity and mortality.</p><p><strong>Aims: </strong>This study aimed to examine the impact of substance use on suicidality among women Veterans compared to their peers, and how this relationship might be moderated by access to care.</p><p><strong>Methods: </strong>This study utilized data from the 2015 to 2019 National Surveys on Drug Use and Health (NSDUH) administered by the Substance Abuse and Mental Health Services Administration (SAMHSA) (<i>n</i> = 131,344). A series of binary logistic regression analyses was used to examine the relationship between substance use and suicidality, adjusted for demographic factors and stratified by sex and Veteran status.</p><p><strong>Results: </strong>Women Veterans were at increased odds of suicidality compared to their peers. In women Veterans, only lifetime non-prescribed prescription opioid use (aOR = 1.99 [1.04-3.79], <i>p</i> = .038) and lifetime cocaine use (aOR = 1.74 [1.10 = 2.74], <i>p</i> = .018) increased the odds of past-year suicidal ideation. Past-year cannabis use disorder, but not combined drug use disorders, increased the odds of suicidal ideation in women Veterans (aOR = 3.93 [1.21-13.81], <i>p</i> = .033). Lifetime cannabis use (aOR = 2.02 [1.03-3.96], <i>p</i> = .040), lifetime cocaine use (aOR=2.24, 1.20-4.05, <i>p</i> = .011), and lifetime stimulant use (aOR = 1.87 [1.05-3.33], <i>p</i> = .034) increased the odds of past-year suicide plans among women Veterans.</p><p><strong>Conclusions: </strong>Women Veterans are at increased risk for suicidality, and substance use may predict suicidality in this population. Psychiatric nurses can be instrumental in ensuring timely access to care for women Veterans, underscoring this study's clinical relevance.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903251398530"},"PeriodicalIF":1.7,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145819866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introducing Virtual Reality to Home-Based Primary Care Veterans With Dementia.","authors":"Alison G Kaneshiro","doi":"10.1177/10783903251335980","DOIUrl":"10.1177/10783903251335980","url":null,"abstract":"<p><strong>Introduction: </strong>Persons with dementia (PwD) can experience behavioral and psychiatric symptoms (BPS), impacting their quality of life and sense of well-being. Symptoms can occur due to environmental changes, frustration with being asked to do things they can no longer do, underlying medical conditions, and medication interactions. Fatigue, fear, and misperceptions can lead to BPS, such as apathy, depression, irritability, agitation, and repetitive questions. Medication as treatment of BPS for PwD can lead to side effects and the potential for worsening the symptoms for older adults. Medication should only be considered when non-drug approaches fail.</p><p><strong>Aims: </strong>This project aimed to introduce virtual reality (VR) to home-based primary care veterans with dementia to determine the effect of VR on psychological well-being in PwD.</p><p><strong>Methods: </strong>Three consecutive days of VR sessions were completed to evaluate psychological well-being before and after VR intervention.</p><p><strong>Results: </strong>VR was associated with a significant reduction in frustration or agitation when asked to finish a task. After the intervention, veterans had fewer disapproving or angry verbalizations during contact with others and completed more than 5 min of a single activity. They showed fewer facial expressions of fright and demonstrated less frowning or crying. Compared to pre-intervention, veterans demonstrated less pulling away from others, less listlessness, less resistance to being involved in an activity, and asked repeated questions less frequently after the VR intervention.</p><p><strong>Conclusions: </strong>VR can be a non-pharmacological management technique for decreasing BPS in PwD to increase their psychological well-being.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"675-681"},"PeriodicalIF":1.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health Services Intake: Creating a Supportive Environment for Transgender and Gender-Expansive People[Formula: see text].","authors":"Renae Hale, Mary Cecilia Wendler","doi":"10.1177/10783903251351989","DOIUrl":"10.1177/10783903251351989","url":null,"abstract":"<p><strong>Objective: </strong>Mental health intake may be a time of vulnerability for transgender and gender-expansive (T/G-E) people. Here, we describe processes that create a supportive environment where T/G-E people can feel welcome and safe.</p><p><strong>Methods: </strong>After reviewing the literature describing the many negative experiences of T/G-E people when encountering health care, we developed a nursing theory-driven, humanistic approach for initiating the therapeutic relationship at intake. Specifically, our approach weaves together Human Caring Theory, trauma-informed care, and therapeutic use of the self during the first encounter with mental health services. Focusing on gathering information needed for the next steps, this process included an examination of every aspect of the intake process to eliminate bias.</p><p><strong>Results: </strong>When properly and holistically employed, these processes may facilitate the initiation of a trauma-informed, therapeutic relationship and rapport that welcomes all, but especially T/G-E people.</p><p><strong>Conclusions: </strong>Human Caring Theory provides necessary guidance that humanizes mental health intake procedures aligns with holistic outcomes and may be especially helpful when providing mental health services to people who identify as T/G-E.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"598-607"},"PeriodicalIF":1.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}